Circular RNA profiling and functional screening in breast cancer identify circNSD1 as a suppressor of tumor autophagy

Circular RNAs (circRNAs) have emerged as critical regulators of cell biology. However, their function in breast cancer remains elusive. Herein, through circRNA profiling of 38 breast tumors and 10 benign breast tissues, we identified 509 of differentially expressed circRNAs. Integration with transcriptome-wide functional screening of approximately 10,000 circRNAs pinpointed circNSD1(6) as a top ranked tumor suppressor in breast cancer. circNSD1(6) is downregulated in tumors and suppression of the circular form, but not the linear form, promotes breast cancer proliferation and tumor growth. Mechanistically, circNSD1(6) interacts with autophagy receptor SQSTM1/p62 and inhibits the oligomerization of p62, thereby suppressing p62 body formation and p62-dependent autophagy. Furthermore, circNSD1(6) ameliorates p62-mediated Keap1 sequestration, hence suppresses the Nrf2 pathway and oxidative stress tolerance. Our study provides a landscape view of the transcription and function of circRNA in breast cancer, and uncovers the crucial role of circNSD1(6) in autophagy and antioxidant stress.